3402-MSWLF-1997 Hanes Mill Road Landfill SW019-0029 PARF & Invoice 3-13-19

PERMIT APPLICATION REVIEW FORM
Review Requested by:MING CHAO
Date Requested:3/11/2019
Facility Name and Permit ID Hanes Mill Road Landfill; 3402-MSWLF-1997
Applicant (Owner) Name Winston-Salem/Forsyth County City/County Utility Commission
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-295.8(b)]
(1)a. New –New Facility
(1)b. New –Expand Facility Boundary
(1)c. New –Expand Waste Boundary
(1)d. New –Substantial Amendment
(2)a. Amendment –Next Phase of the Approved Facility Plan
(2)b. Amendment –Renewal/Review 5YR 10YR LOS
(2)c. Amendment –Change in Ownership
(3)a. Modification –Change to Approved Plans (No CHR)
(3)b. Modification –Subsequent Permit to Operate (No CHR)
(3)c. Modification –Five-year Limited Review
(4) Major Permit Modification
Permitted Annual Tonnage 254,688 tpy (04/01/15 thru 03/31/16)
Permit Fee None for LOS
Date Application Received 3/8/2019
Contact Name, Title & Phone #Jan McHargue, Solid Waste Administrator, 336-747-7310
Email Address [e-mail]
Company Hanes Mill Municipal Solid Waste Landfill
911 Address 325 West Hanes Mill Road, Winston-Salem, NC 27105
Mailing Address PO BOX 2511,
City/State/Zip Winston-Salem, NC 27102
Parent Company City of Winston-Salem/Forsyth County
Known Subsidiaries unknown
Other known names business
has operated under
unknown
Known Counties of Operation Forsyth, Davie, Stokes, Yadkin, Surry
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF, CDLF Permit #: 3402, 3412
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes
SW019-0029
P1040
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW019-0029
Date:3/13/2019
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:Stevie Dulin
Hanes Mill Road Landfill
PO Box 2511
Winston-Salem, NC 27102
More information available on the web:
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card -Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.]
Paper check -Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy
of this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Remit paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
Hanes Mill Road Landfill (3402-MSWLF-1997)
325 West Hanes Mill Road
Winston-Salem, NC 27105
Permit Renewal Application (Modification- Change to Approved Plans (NO CHR)) received on
3/8/2019
$0.00
$0.00Total Amount Due
4/12/2019Date Due
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shall be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Billing process:
Mary H. Johnson [phone]
Ed Mussler [phone]
Solid Waste Contacts:
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Adam Ulishney [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014